| NPI | 1114423738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9235069) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9235069) |
| 363LS0200X Nurse Practitioner, School (Licence: FL 9235069) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2020-09-11 |