| NPI | 1881450682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9642076) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-11-20 |