| NPI | 1487279659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1662585) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995655-NP) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2022-12-05 |