| NPI | 1013041714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9293363) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 305688) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-11-04 |