| NPI | 1679120893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11002892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002892) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11002892) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-09-04 |