| NPI | 1073025466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9496111) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9496111) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA F1581391) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-10-28 |