| NPI | 1114344777 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9309270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL arnp9309270) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2022-10-09 |