| NPI | 1225323181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9359842) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2020014037) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2025-01-16 |