| NPI | 1457627903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9197141) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9197141) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2015-03-27 |