| NPI | 1588037113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9254393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP 9254393) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9254393) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9254393) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2019-02-13 |