| NPI | 1578866042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9244962) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9244962) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2020-12-04 |