| NPI | 1700249596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 9264855) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1180980) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-06-14 |