| NPI | 1245683416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9301194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9301194) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2024-05-06 |