| NPI | 1912428327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9345172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201804753NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9345172) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-08-16 |