| NPI | 1083726350 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3191932) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP3191932) | 
| 363LS0200X Nurse Practitioner, School (Licence: FL ARNP3191932) | |
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2021-08-20 |