| NPI | 1407307929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP2498772) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2498772) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-08-01 |