| NPI | 1013034388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11004004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 3079412) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2021-03-22 |