| NPI | 1245230960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1575192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP15775192) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2012-05-18 |