| NPI | 1316424211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP09990) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11020034) |
| 363L00000X Nurse Practitioner (Licence: MS 902821) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2023-01-20 |