| NPI | 1265027817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9246927) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2024-03-17 |