| NPI | 1215973359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3378682) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 3378682) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-01-02 |