| NPI | 1124116280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9373693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45486) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-02-28 |