| NPI | 1487673406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R887779) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3396982) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-12-22 |