| NPI | 1902318975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9349431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201707263NP-PP) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2021-09-14 |