| NPI | 1639700503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 23574) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2023-09-21 |