| NPI | 1902039423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2151172) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2151172) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2016-03-01 |