| NPI | 1699150284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002408) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-128278) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-01-05 |