| NPI | 1033623269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9257902) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9257902) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9257902) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2022-08-23 |