| NPI | 1841271996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1100882) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 1100882) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2021-08-24 |