| NPI | 1427451566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9357481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9357481) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9357481) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2022-04-22 |