| NPI | 1659315190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN2977622) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 616997) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2977622) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-03-23 |