| NPI | 1003386244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011926) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019569) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-06-02 |