| NPI | 1932728193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021028708) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-02-13 |