| NPI | 1609287507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1636342) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |