| NPI | 1255825782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9381425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9381425) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9381425) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-04-04 |