| NPI | 1740239961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9476466) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9476466) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024174157) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2018-03-28 |