| NPI | 1083641831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9289105) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY F303724-1) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9289105) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-02-10 |