| NPI | 1336685395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9479701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9479701) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000021911) | |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2022-10-28 |