| NPI | 1740696954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL ARNP9179647) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9179647) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9179647) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-09-03 |