| NPI | 1720483217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9313514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9313514) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9313514) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2022-10-27 |