| NPI | 1316488976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11035871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9353574) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015223) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-12-24 |