| NPI | 1699004150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9343619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R174023) |
| Enumeration Date | 2009-12-12 |
| Last Update Date | 2024-01-29 |