| NPI | 1093062820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9495172) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 815230) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2023-03-07 |