| NPI | 1083185243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9302177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9302177) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-06-14 |