| NPI | 1669897377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1712222) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 1712222) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2019-09-25 |