| NPI | 1982090296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9169443) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL ARNP9169443) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-05-18 |