| NPI | 1255102273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030503) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11030503) |
| 363L00000X Nurse Practitioner (Licence: FL 11030503) | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-02-26 |