| NPI | 1174853923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9190830) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9190830) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9190830) | |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2023-09-21 |