| NPI | 1104390335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3129922) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2023-06-23 |