| NPI | 1578060042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11010683) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN002861) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2021-11-05 |