| NPI | 1346514072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017169) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA67575) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2023-02-14 |