| NPI | 1457384463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1915472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1915472) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-12-04 |