| NPI | 1326440017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9226239) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9226239) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2023-09-13 |