| NPI | 1568962165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9271980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9272980) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |