| NPI | 1407434442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3015983) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11013179) |
| 363L00000X Nurse Practitioner (Licence: KY 3015983) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11013179) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2022-08-04 |