| NPI | 1730511296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7475) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9229386) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2022-10-19 |