| NPI | 1922718931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022847) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-03-02 |