| NPI | 1487058459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9168223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9168223) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2019-05-09 |