| NPI | 1376285411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R199523) |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2023-07-07 |