| NPI | 1629516281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9346211) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ARNP934621) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9346211) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-02-03 |