| NPI | 1316979164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP2943582) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 278522) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-05-02 |