| NPI | 1982089389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1709372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL rN1709372) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2018-06-11 |