| NPI | 1235520628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS r853387) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19625) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2024-11-21 |