| NPI | 1467429514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 3158) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 20081113) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9216154) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2023-05-18 |