| NPI | 1912927781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9443567) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002695) |
| 363L00000X Nurse Practitioner (Licence: MA 173962) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-07-21 |