| NPI | 1457726200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9265911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174014) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2024-06-12 |