| NPI | 1942690748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9333520) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL 9333520) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2022-10-16 |