| NPI | 1083141626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL arnp9221157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9221157) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2022-05-27 |