| NPI | 1992320360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9464915) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2021-10-05 |