| NPI | 1427454909 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9356006) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002794) | 
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95011256) | |
| Enumeration Date | 2014-11-12 | 
| Last Update Date | 2021-07-07 |