| NPI | 1902312549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9308870) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9308870) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2025-01-11 |