| NPI | 1588309405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PR 4184) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-11-25 |