| NPI | 1487002895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2144172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2144172) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-09-07 |