| NPI | 1093186587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173006) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2024-03-22 |