| NPI | 1215033576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9491931) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 442971) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-01-13 |