| NPI | 1144674052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9306748) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 253808) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2024-08-19 |