| NPI | 1982105516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL F308651-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682-972) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-07-10 |