| NPI | 1144422692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9200245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 34336) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-06-14 |