| NPI | 1851080204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021214) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-08-01 |