| NPI | 1336541572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9440706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013994) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-09-06 |