| NPI | 1316285174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9278586) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024185825) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9278586) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2024-03-21 |