| NPI | 1558795823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9278617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9278617) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2024-04-17 |