| NPI | 1730794280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008379) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 111008379) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11008379) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2022-03-22 |