| NPI | 1538219753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9166520) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp9166520) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-07-21 |