| NPI | 1942675913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP2628702) |
| Additional Taxonomies | 193400000X Single Specialty (Licence: FL ARNP2628702) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2021-08-04 |