| NPI | 1467796128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP2121402) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL ARNP2121402) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2014-11-20 |