| NPI | 1366039208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11010925) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 647839) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11010925) | |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2021-02-18 |