| NPI | 1659617280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9369018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2271523) |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2014-01-18 |