| NPI | 1124630223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11016747) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309854-01) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 213237) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2022-10-28 |