| NPI | 1275071144 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9371847)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP 9371847)  | 
| Enumeration Date | 2017-02-10 | 
| Last Update Date | 2024-03-13 |