| NPI | 1588260301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL NP9330201) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2023-01-30 |