| NPI | 1083104335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9403675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018858) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2023-08-14 |