| NPI | 1194711317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9165833) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9165833) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2022-06-27 |