| NPI | 1447564273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 264400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9238229) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2021-12-20 |