| NPI | 1497424089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11015290) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015290) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-12-05 |