| NPI | 1497093165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL aprn9296866) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL aprn9296866) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9296866) | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2021-10-08 |