| NPI | 1558036269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11032717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11062-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032717) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-06-27 |