| NPI | 1215485362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9217943) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21693) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-05-28 |