| NPI | 1780227074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9363228) |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2023-08-30 |