| NPI | 1336602382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11001383) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11001383) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-05-23 |