| NPI | 1033622527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020038) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9283464) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-08-02 |