| NPI | 1497267744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9406872) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9406872) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2023-05-16 |