| NPI | 1508181835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14666) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN188522NP) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9319153) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2012-09-04 |