| NPI | 1821241910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11000231) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 274572) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11000231) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2021-12-02 |