| NPI | 1538579115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9247419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP 9247419) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-09-24 |