| NPI | 1114434354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9243312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL f06171848) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-06-15 |