| NPI | 1689733156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1809802) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL A1106083) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-07-25 |