| NPI | 1639142839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2540422) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2540422) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-11-23 |