| NPI | 1932857786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9309537) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-30 |