| NPI | 1396080529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9280682) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP# 9280682) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2021-04-22 |