| NPI | 1508890674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2166022) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL arnp2166022) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-02-21 |