| NPI | 1124026174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9174343) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 332994) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-06-29 |