| NPI | 1124357934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9307607) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 056391-23) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2018-05-01 |