| NPI | 1871789917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010479) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9444048) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010479) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2022-04-22 |