| NPI | 1487366472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2022059797) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2025-02-16 |