| NPI | 1770845059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9484219) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337323) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9484219) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-03-23 |