| NPI | 1235438540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11017696) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20394) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2022-05-16 |