| NPI | 1568061364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11008113) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11008113) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-07-10 |