| NPI | 1821388406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11027643) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5195372) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2024-09-27 |