| NPI | 1487999025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9186000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9186000) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9186000) | |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2023-03-07 |