| NPI | 1669984654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9343172) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9343172) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-05-25 |