| NPI | 1831788306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9552221) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-04-02 |