| NPI | 1568934743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9229003) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11000798) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11000798) | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-04-24 |