| NPI | 1962657452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9471417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1025089) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 7493) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2018-06-06 |