| NPI | 1558745018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 309024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9343603) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-12-10 |