| NPI | 1467088153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11020665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9338278) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2024-03-20 |