| NPI | 1740227503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9240049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9240049) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-02-02 |