| NPI | 1285125567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9322668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9322668) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9322668) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-02-23 |