| NPI | 1134653116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9239773) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: FL APRN9239773) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9239773) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9239773) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-01-18 |