| NPI | 1740701556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11019846) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: OH 386443) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-09-26 |