| NPI | 1093114720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3254832) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ARNP3251832) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |