| NPI | 1629041918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9239323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 198031) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-01-16 |