| NPI | 1477680593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9217962) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: FL RN9217962) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-01-22 |