| NPI | 1174593107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP2772732) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP2772732) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-03-18 |