| NPI | 1477552347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2953602) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2010-10-07 |