| NPI | 1801802889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3319422) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 3319422) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 3319422) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-04-02 |