| NPI | 1437818747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9451680) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-03-29 |