| NPI | 1710437728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201608222NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9259583) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-01-17 |