| NPI | 1386016483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9335160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9335160) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2019-01-27 |