| NPI | 1336212380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9162696) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 2875) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-04-28 |