| NPI | 1962032607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN00114125) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-02-07 |