| NPI | 1962181263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023578) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-04-23 |