| NPI | 1245763291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9173306) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 308848) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9173306) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-07-12 |