| NPI | 1831574342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp1625792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1625792) |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2024-01-10 |