| NPI | 1912474958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9351573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9351573) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2022-08-11 |