| NPI | 1578013694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9220984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN ARNP22201) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2018-06-13 |