| NPI | 1427402932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9251626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9251626) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2023-10-17 |