| NPI | 1023120920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL AN1627902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1627902) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-09-14 |