| NPI | 1285639021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP3086652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 3086652) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2021-07-08 |