| NPI | 1043549587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11020568) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14642) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2022-08-16 |