| NPI | 1891284469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9366642) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: FL APRN9366642) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-02-15 |