| NPI | 1639172018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9353309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R623768) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-10-17 |