| NPI | 1639100977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9341910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000012100) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-07-30 |