| NPI | 1982122362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9344954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 299420) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009855) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-05-07 |