| NPI | 1235420423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9378999) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 35053) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2014-08-25 |