| NPI | 1235418682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9248896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9248896) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2024-07-03 |