| NPI | 1124457361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9250885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9250885) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2022-05-27 |