| NPI | 1346702305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9327726) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11009264) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009264) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2021-03-25 |