| NPI | 1992216410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9246314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 079312-23) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-01-08 |