| NPI | 1518530427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL aprn11013449) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-08-25 |