| NPI | 1528469160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9308604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9308604) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2022-10-27 |