| NPI | 1972177996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 085681-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11007943) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-05-12 |