| NPI | 1467202671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03993) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-11-01 |