| NPI | 1023383023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9279693) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9279693) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2013-04-16 |