| NPI | 1417218942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9180792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 585935) |
| 163W00000X Registered Nurse (Licence: MI 4704229396) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2013-03-21 |