| NPI | 1942752324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9326586) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9326586) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2019-06-06 |