| NPI | 1740348325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9444091) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-04-25 |