| NPI | 1114704350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9576786) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-05-27 |