| NPI | 1881287092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9496850) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-12-19 |