| NPI | 1457680654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9220868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9220868) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2010-10-07 |