| NPI | 1063835122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009020) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: FL 233429) |
| 376J00000X Homemaker (Licence: FL 233429) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2020-09-04 |