| NPI | 1730498015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN 3411332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3411332) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |