| NPI | 1891085072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3261652) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3261652) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2021-07-01 |