| NPI | 1770696353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN1520772) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 1520772) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-06-14 |