| NPI | 1538776414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11007465) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9355397) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2023-01-04 |