| NPI | 1609186295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3384362) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 3384362) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2019-06-26 |