| NPI | 1023405222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9409592) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-133121) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2017-05-09 |