| NPI | 1336328418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ARNP3285582) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3285582) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2012-04-04 |