| NPI | 1376908210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9279934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9279934) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9279934) | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2020-01-06 |