| NPI | 1295125219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9279932) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9279932) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9279932) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2019-09-19 |