| NPI | 1043664105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9352191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014566) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2021-03-15 |