| NPI | 1790189215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9274878) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL ARNP9274878) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9274878) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2021-03-22 |