| NPI | 1851927461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9412568) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11007303) | |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2022-09-07 |