| NPI | 1366084527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL aprn9248139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004340) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2021-07-29 |