| NPI | 1427505114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20457) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-03-09 |