| NPI | 1114952702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9271257) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 200182) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 437135-1) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-01-13 |