| NPI | 1699399188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 27674) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 27674) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-06-08 |