| NPI | 1841761673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9331110) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 9331110) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2021-09-21 |