| NPI | 1972991123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9466316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7490) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2024-02-12 |