| NPI | 1801404736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11008080) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11008080) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11008080) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-08-30 |