| NPI | 1023601952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010943) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010943) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010943) | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-05-12 |