| NPI | 1134582711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9407892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9407892) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2021-12-07 |