| NPI | 1598484628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021852) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: FL 2022042112) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-03-30 |