| NPI | 1548289424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 2979312) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 004059) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-10-26 |