| NPI | 1487088043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9170390) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-001615) |
| 363L00000X Nurse Practitioner (Licence: TX 1110297) | |
| 363L00000X Nurse Practitioner (Licence: TN 36439) | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2024-08-13 |