| NPI | 1730280611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9381896) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R073583) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-08-14 |