| NPI | 1518406198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 237182) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2025-05-27 |