| NPI | 1033429949 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9179015) | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL ARNP9179015) | 
| Enumeration Date | 2010-10-13 | 
| Last Update Date | 2013-09-18 |