| NPI | 1992348155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004724) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004724) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2022-03-29 |