| NPI | 1497067870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9264345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9264345) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2011-08-02 |