| NPI | 1871948026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9337184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN933184) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2024-07-23 |