| NPI | 1396278867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2541332) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2541332) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-05-24 |