| NPI | 1003460171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11003441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003441) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2025-01-09 |