| NPI | 1346871597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11006206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9445381) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-04-21 |