| NPI | 1245615293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9307827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 281109) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9307827) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-09-13 |