| NPI | 1134896376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023555) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9498576) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN9498576) | |
| 163WC1500X Registered Nurse, Community Health (Licence: FL RN9498576) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-03-15 |