| NPI | 1912358078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9325440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9325440) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-05-07 |