| NPI | 1295238889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9283614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2315348) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-09-04 |