| NPI | 1760682702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9319292) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-03-17 |