| NPI | 1598523813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F11220827) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11023475) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |