| NPI | 1609081595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9211153) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA ARNP152540) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2017-04-24 |