| NPI | 1407175755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1150782) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1150782) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2017-11-08 |