| NPI | 1003042581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9228629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9228629) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2019-05-17 |