| NPI | 1982285870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013007) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9231761) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-05-09 |