| NPI | 1952928772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9356693) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2021-08-22 |