| NPI | 1396947321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9198450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9198450) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9198450) | |
| 363LS0200X Nurse Practitioner, School (Licence: FL ARNP9198450) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-09-11 |