| NPI | 1275185886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9342974) |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2024-02-28 |