| NPI | 1942682984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015016930) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2024-12-10 |