| NPI | 1275021206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9488041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R226824) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2019-10-08 |