| NPI | 1821489204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9404408) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H119413) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2019-08-18 |