| NPI | 1184231110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 833378) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-09-28 |