| NPI | 1013254762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9471661) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 97447) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2020-10-14 |