| NPI | 1447951967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F02231148) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-14 |