| NPI | 1801540695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016791) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016791) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-08-15 |