| NPI | 1265763676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9234939) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9234939) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2020-12-03 |