| NPI | 1225580335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9297064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9297064) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-11-27 |