| NPI | 1750671178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9445797) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG0000555) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2018-03-17 |