| NPI | 1225527849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3052292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3052292) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2022-05-05 |