| NPI | 1790288694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9317115) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9317115) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-05-23 |