| NPI | 1639214216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11027284) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP-785A) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-01-04 |