| NPI | 1053132522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11033787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11033787) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-31 |