| NPI | 1285305649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25427) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-08-23 |