| NPI | 1669808044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9249023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9249023) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9249023) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2014-01-30 |