| NPI | 1598765612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9181387) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-133219) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-01-05 |