| NPI | 1114070786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2235552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-038037) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |