| NPI | 1013409655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9276224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9276224) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-03-11 |