| NPI | 1932571742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9310330) |
| Additional Taxonomies | 2085R0001X (Licence: FL ARNP9310330) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2024-06-12 |