| NPI | 1144506155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP2632922) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN2632922) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2022-03-01 |