| NPI | 1093176562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3233542) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN3233542) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2018-04-25 |