| NPI | 1659859437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 53406) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009436) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2021-09-22 |