| NPI | 1811396021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 307050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11002558) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-12-03 |