| NPI | 1972102192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9342058) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |