| NPI | 1356720619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN9332443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9332443) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2016-10-13 |