| NPI | 1295251783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9362687) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F1116501) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2024-10-01 |