| NPI | 1225000458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3159292) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 3159292) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-03-26 |