| NPI | 1306368469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9291867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9291867) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-11-28 |