| NPI | 1013308063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9252532) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: FL ARNP 9252532) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-03-31 |