| NPI | 1174873731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9398726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-097478) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2015-08-27 |