| NPI | 1407214836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008332) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008332) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11008800) | |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2022-06-13 |