| NPI | 1487330429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9551981) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-06-18 |