| NPI | 1417327867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9310911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9310911) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-11-23 |