| NPI | 1932492600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9335556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 114645) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2013-02-22 |