| NPI | 1902342629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9233456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9233456) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2019-02-14 |