| NPI | 1982154373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9263884) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9263884) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9263884) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2020-10-08 |