| NPI | 1033526140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9310274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9310274) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2015-07-16 |