| NPI | 1083734131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9314420) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 175807) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-12-03 |