| NPI | 1821371923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9334752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012186) |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2023-02-04 |