| NPI | 1811905219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3079612) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3079612) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-10-28 |