| NPI | 1912550476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1100285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002850) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-11-14 |