| NPI | 1164707576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9190576) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL arnp9190576) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2017-12-28 |