| NPI | 1871880732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9226068) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: FL ARNP 9226068) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2015-09-07 |