| NPI | 1306471727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 847581) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2023-05-03 |