| NPI | 1225733678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9173368) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-08-27 |