| NPI | 1518441864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9170418) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: FL RN9170418) |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2018-09-22 |