| NPI | 1467743997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9241564) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9241564) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN9241564) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-05-15 |