| NPI | 1760875975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9250416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9250416) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2018-11-29 |