| NPI | 1376190785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003785) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-000409) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-05-04 |