| NPI | 1912437419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9291732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9291732) |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2019-05-30 |