| NPI | 1184938540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9167001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9167001) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2016-08-31 |