| NPI | 1821584624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9396021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9396021) |
| 363L00000X Nurse Practitioner (Licence: FL F06181867) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |