| NPI | 1871116020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 212338) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-06-20 |