| NPI | 1366866485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9309250) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA 363L00000X) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2021-11-06 |