| NPI | 1144240995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9179291) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9179291) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-03-24 |