| NPI | 1497466874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F11220500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023193) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |