| NPI | 1992319529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7500) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-12-07 |