| NPI | 1326596305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9490451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7186-33) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-11-28 |