| NPI | 1427247790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9205247) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014003270) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2022-10-24 |