| NPI | 1952736548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10007541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9263582) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2023-06-09 |