| NPI | 1588340590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9486551) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-11-01 |