| NPI | 1902474315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010983) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11010983) |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2024-04-02 |