| NPI | 1225742737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11024141) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 593259553) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-04-10 |