| NPI | 1942822283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9343822) |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2022-06-29 |