| NPI | 1306369640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9284641) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9284641) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |