| NPI | 1649729799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 2001606349NP/PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN186231) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2018-12-28 |