| NPI | 1073357398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11034580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL f06241148) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2025-02-03 |