| NPI | 1518443803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9349863) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9349863) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-10-28 |