| NPI | 1285230763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11010169) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 11010169) | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2022-03-17 |