| NPI | 1821855537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9540167) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11032725) | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-07-25 |