| NPI | 1215437405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9294976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9294976) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 237474) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-06-09 |