| NPI | 1003258096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9267591) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000694) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000694) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9267591) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-04-29 |