| NPI | 1942745328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9324757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9324757) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2019-12-06 |