| NPI | 1295133619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9181405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9181405) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2019-11-07 |