| NPI | 1124388954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3392552) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN3392552) |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2013-05-24 |