| NPI | 1861069866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013564) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11013564) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11013564) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11013564) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |