| NPI | 1427036292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9182048) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9182048) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2011-01-19 |