| NPI | 1518953066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9244508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN128333) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2011-04-25 |