| NPI | 1093922718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1082721) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9327320) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-02-21 |