| NPI | 1255597670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9481079) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110976) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-03-27 |