| NPI | 1407870033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9205939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP9205939) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-11-22 |