| NPI | 1467545962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9171458) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 14545) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-09-24 |