| NPI | 1417241159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9363744) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA H-125774) |
| Enumeration Date | 2011-05-29 |
| Last Update Date | 2020-04-30 |