| NPI | 1124042262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9356332) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704184475) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-11-09 |