| NPI | 1225169451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2798892) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2798892) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-10-28 |