| NPI | 1518154236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3151782) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH EL09227) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2022-08-03 |