| NPI | 1528459799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004270) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: AR A004270) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-06-10 |