| NPI | 1982281697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006899) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11006899) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2023-06-14 |