| NPI | 1750316261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9216598) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARRP9216598) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9216598) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-01-24 |