| NPI | 1841663655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9324546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9324546) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9324546) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2021-11-02 |