| NPI | 1538581558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9273682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9273682) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2022-10-28 |