| NPI | 1982484531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028620) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-10-02 |