| NPI | 1760400816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1322062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1322062) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-02-14 |