| NPI | 1609382258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9199805) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2017019650) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 2017014759) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-02-10 |