| NPI | 1336689470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2832682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2832682) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2832682) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2020-02-11 |