| NPI | 1467976399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9307868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9307868) |
| 163W00000X Registered Nurse (Licence: FL RN9307868) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9307868) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2021-11-19 |