| NPI | 1619182722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN1340502) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 1340502) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-09-17 |