| NPI | 1265921464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9309406) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9309406) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-03-18 |