| NPI | 1760436919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN1868672) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN1868672) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-11-03 |