| NPI | 1548292998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 200950070) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9242551) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-12-07 |