| NPI | 1154804821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9260873) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9260873) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-04-20 |