| NPI | 1952812711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9313006) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9313006) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |