| NPI | 1851714067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9184461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9184461) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2016-11-15 |