| NPI | 1235780537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1104137) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11004137) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-06-12 |