| NPI | 1740887629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009234) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: FL RN9437588) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-08 |