| NPI | 1134542848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9288672) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND3039) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9288672) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |