| NPI | 1467239509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11028312) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11028312) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-05-16 |