| NPI | 1194979393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2581602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2581602) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2581602) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2024-12-10 |