| NPI | 1730303900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9329326) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f301285) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-12-11 |