| NPI | 1255917266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012028) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2025-02-17 |