| NPI | 1659405173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9299775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002362) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-08-26 |