| NPI | 1376178632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9426812) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-06-15 |