| NPI | 1811385354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9196062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172200) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5007419) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2021-04-20 |