| NPI | 1861783631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9243036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9243036) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2025-03-07 |