| NPI | 1851704225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9294901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9294901) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2016-01-06 |