| NPI | 1215340534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9335865) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-02-15 |