| NPI | 1801375753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9401099) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000149) | |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2021-07-27 |