| NPI | 1770767873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3382252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3382252) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2024-11-07 |