| NPI | 1770772477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9340525) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 326859) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 88083) | |
| 164W00000X Licensed Practical Nurse (Licence: CA 4652) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2013-09-03 |