| NPI | 1245703826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000533) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11000533) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-08-16 |