| NPI | 1629695002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007876) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11007876) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-24 |