| NPI | 1942605027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9293764) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9293764) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2022-09-03 |