| NPI | 1154395986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2108172) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 2108172) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2008-12-04 |