| NPI | 1013582899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023496) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014454) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-05-18 |