| NPI | 1922750264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28197195A) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-08-01 |