| NPI | 1083994248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3016842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN3016842) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-11-22 |