| NPI | 1447757265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9317249) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9317249) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-20 |