| NPI | 1003275157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN 2165662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2165662) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2024-04-29 |