| NPI | 1619533940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000025527) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-06-06 |