| NPI | 1871668517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9381403) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3334691) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-07-06 |