| NPI | 1174505101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9422997) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: AL 1077063) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-03-01 |