| NPI | 1689722506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP891701) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 5097) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-07-09 |