| NPI | 1184278350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003958) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9353127) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003958) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-10-09 |