| NPI | 1891494894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9473798) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-03-05 |