| NPI | 1255851937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9390679) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012562) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-02-01 |