| NPI | 1568663540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008758) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN7587) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-10-21 |