| NPI | 1750640025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9262147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174835) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN287062) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2024-07-18 |