| NPI | 1316267610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9371021) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 14975) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2020-07-13 |