| NPI | 1073794574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9204631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9204631) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2011-12-26 |