| NPI | 1073668687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN9256045) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2299190) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-12-15 |