| NPI | 1093254252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9296699) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9296699) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9296699) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP135096) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-12-04 |