| NPI | 1174291959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11028393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9525989) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028393) | |
| Enumeration Date | 2021-09-05 |
| Last Update Date | 2023-10-26 |