| NPI | 1376537738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3649) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN091202) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9194444) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2009-03-09 |