| NPI | 1164043667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11006399) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11006399) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006399) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11006399) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-11-04 |