| NPI | 1356844708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9363682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9363682) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2020-03-26 |