| NPI | 1205800984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 22260) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1834862) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-01-12 |