| NPI | 1174896112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9203445) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL 650267668) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-10-07 |