| NPI | 1538669627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9413084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9413084) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL F02180533) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-03-07 |