| NPI | 1861596405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11024942) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN09759200) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010411) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2025-01-06 |