| NPI | 1912459314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9173848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9173848) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2018-06-19 |