| NPI | 1669994083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3265502) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3265502) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 3265502) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2018-04-27 |