| NPI | 1477186567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013371) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9313427) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-08-15 |