| NPI | 1023150984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9238647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9238647) |
| 163W00000X Registered Nurse (Licence: FL 9238647) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-10-03 |