| NPI | 1770906620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9265865) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9265865) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN249636) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-01-11 |