| NPI | 1740679240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11000618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9267395) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2024-02-22 |