| NPI | 1548773005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2113772) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-04-26 |