| NPI | 1538482260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9374930) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 154211) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2025-01-06 |