| NPI | 1194259929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9348665) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024184683) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-10-27 |