| NPI | 1295700573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 301484) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2048882) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2022-01-04 |