| NPI | 1609192376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9235693) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2263210) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2013-10-25 |