| NPI | 1750926606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9459931) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-04-13 |