| NPI | 1831838036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11019900) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-07-18 |