| NPI | 1346587649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9316459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9316459) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2025-04-09 |