| NPI | 1922507532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001818) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018553) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-03-29 |