| NPI | 1932816311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F10221283) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-12-29 |