| NPI | 1851660609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3154242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP3154242) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2020-08-20 |