| NPI | 1245306026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2218012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP03118) |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2024-09-12 |