| NPI | 1861879223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9438019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2296958) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2016-10-27 |