| NPI | 1780927772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2023166840) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-12-05 |