| NPI | 1811099161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9397550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 17947) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2017-03-08 |