| NPI | 1699357574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011711) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11011711) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-05-10 |