| NPI | 1477227973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F07210513) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2022-11-19 |