| NPI | 1700871662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL 1244422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1244422) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 1244422) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2013-07-24 |