| NPI | 1316261787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004432) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11004432) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN267895) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN255705) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2022-08-04 |