| NPI | 1992250450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004776) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AR A004776) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-05-01 |