| NPI | 1568943629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11020931) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308698-1) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-01-18 |