| NPI | 1922648484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 829933) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2024-10-18 |