| NPI | 1538711064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003245) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11003245) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-11-05 |