| NPI | 1942382130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028764) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9427415) |
| 237700000X Hearing Instrument Specialist (Licence: FL AS3954) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-11-11 |