| NPI | 1902236698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9271325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp9271325) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704393964) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-08-25 |