| NPI | 1417135633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9253622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9253622) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2021-08-18 |