| NPI | 1497036602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9214736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9214736) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2013-12-04 |