| NPI | 1326671728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006464) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9415690) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2023-04-26 |