| NPI | 1366856254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP-9281487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9281487) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-05-06 |