| NPI | 1689037327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9427546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-140610) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-12-14 |