| NPI | 1184895419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R219373) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 73847) |
| 363L00000X Nurse Practitioner (Licence: VA 0024167888) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9201258) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL 9201258) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2016-02-01 |