| NPI | 1417589516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11030347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030347) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11030347) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2024-09-05 |