| NPI | 1679086318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9316304) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9316304) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-10-28 |