| NPI | 1023182656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9238929) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2269970) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-07-21 |