| NPI | 1780390617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024076) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9383612) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-03-10 |