| NPI | 1861062945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F06211557) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-05-27 |