| NPI | 1275382798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11031764) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11031764) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-09-23 |