| NPI | 1992588909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9271556) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-04-23 |