| NPI | 1003647173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11034763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11034763) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-10-29 |