| NPI | 1851743645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016572) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004758) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2021-12-15 |