| NPI | 1285270975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005122) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL APRN11005122) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-01-10 |