| NPI | 1275286346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11017806) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017806) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2022-02-10 |