| NPI | 1396275160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9247035) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9247035) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-01-23 |