| NPI | 1982265864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002801) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2022-05-17 |