| NPI | 1528050788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9493687) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 10457) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2024-09-06 |