| NPI | 1730291634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL AN099388C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN0993882) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-12-17 |