| NPI | 1295774784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9396947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024168707) |
| 363L00000X Nurse Practitioner (Licence: OH NP07980) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-07-27 |