| NPI | 1619230083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9168697) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ARNP9168697) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9168697) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-08-23 |