| NPI | 1316546344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11008543) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2023-04-28 |