| NPI | 1770027906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 167831) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9230261) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2022-07-21 |