| NPI | 1467938043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9345635) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-12-13 |