| NPI | 1578136461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021362) |
| 163W00000X Registered Nurse (Licence: PR 76006) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PR 003793) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-05-22 |