| NPI | 1861933251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11027398) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2024-02-19 |