| NPI | 1649909805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL APRN11019792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11019792) |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2023-09-14 |