| NPI | 1992211676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09743) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: LA RN086707) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-02-14 |