| NPI | 1013982503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP906562) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ARNP906562) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-10-16 |