| NPI | 1518923093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9495960) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC A3669) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9495960) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704167219) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-10-28 |