| NPI | 1346852274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11014679) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 995666) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014679) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11014679) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-01-06 |