| NPI | 1245716760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9400561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9400561) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2020-05-28 |