| NPI | 1699152884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11034350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-102061) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-11-04 |