| NPI | 1326081894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9278988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001174A) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-03-17 |