| NPI | 1962682799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3200282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP3200282) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2014-06-17 |