| NPI | 1750036224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11016579) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-11-14 |