| NPI | 1508950072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9329975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 900067) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-10-22 |