| NPI | 1396466728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 279165) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2024-03-07 |