| NPI | 1992029748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9331186) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SPO10755) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2014-03-20 |