| NPI | 1699837104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9387289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4224S) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-01-07 |