| NPI | 1659927432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11002292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-04-23 |