| NPI | 1336542430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9165603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9165603) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9165603) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2024-08-21 |