| NPI | 1043623275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9380676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9380676) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2018-06-28 |