| NPI | 1841896438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9355230) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-02-19 |