| NPI | 1982941183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9492729) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5173-33) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2024-04-23 |