| NPI | 1982342069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013619) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-02-07 |