| NPI | 1275235590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11025232) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 11025232) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-02-12 |