| NPI | 1841947488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11018455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018455) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11018455) | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-12-22 |