| NPI | 1033594940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9424805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 6178) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2018-04-24 |