| NPI | 1164678017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC ARNP2805012) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2805012) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-06-12 |