| NPI | 1295270478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9324730) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP924730) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-12-20 |