| NPI | 1346882131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11004865) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11004865) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AG10190074) | |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2022-11-02 |