| NPI | 1366465064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP 1565422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 1565422) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 1565422) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |