| NPI | 1992778898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9331374) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024-166472) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2018-12-05 |