| NPI | 1013185685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2212792) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: FL 2212792) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |