| NPI | 1558382960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9379570) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9379570) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-12-20 |