| NPI | 1376900100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9294884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9294884) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-02-16 |