| NPI | 1881839116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9467842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 227656) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2023-11-23 |