| NPI | 1669971552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9362406) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9362406) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2021-08-07 |