| NPI | 1235620196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9364601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9364601) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 26380) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2023-06-21 |