| NPI | 1336295641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9317809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN apn000012523) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2013-11-11 |