| NPI | 1316671191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 354895) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-10-28 |