| NPI | 1578035903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11002154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F12180320) |
| Enumeration Date | 2018-12-25 |
| Last Update Date | 2019-08-21 |