| NPI | 1467922948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8910-33) |
| 363L00000X Nurse Practitioner (Licence: WI 8910-33) | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2025-04-16 |