| NPI | 1073020145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9310875) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-01-12 |