| NPI | 1841635760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9378997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-113886) |
| 363LF0000X Nurse Practitioner Family (Licence: AL 1-113886) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2021-09-16 |