| NPI | 1023558988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9224394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9224394) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2020-02-19 |