| NPI | 1265631642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9198056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9198056) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-03-17 |