| NPI | 1194275271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9358594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9358574) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9358574) | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2022-03-29 |