| NPI | 1245988377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028460) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9366408) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2023-09-16 |