| NPI | 1174773121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9386799) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 681857) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2021-08-03 |