| NPI | 1477067122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9171961) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9171961) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2022-12-19 |