| NPI | 1316303670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9307202) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9307202) |
| Enumeration Date | 2016-01-01 |
| Last Update Date | 2025-01-08 |