| NPI | 1346686193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 133924) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A136431) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP 9266109) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2018-09-11 |