| NPI | 1841898566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 646570) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2022-03-21 |