| NPI | 1568700888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9185531) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9185531) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2023-02-08 |