| NPI | 1356029938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F07230030) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-09-19 |