| NPI | 1861738817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2863432) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2863432) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2021-05-26 |