| NPI | 1457717134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018510) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2016000430) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2022-09-19 |