| NPI | 1124373576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11026884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 306094) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2024-03-05 |