| NPI | 1265664031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 16480) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9203458) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2016-09-26 |