| NPI | 1417318775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22875) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9409068) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2019-09-20 |