| NPI | 1265672877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9184663) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9184663) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2024-02-02 |