| NPI | 1326549809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9493489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 30112081) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-04-18 |