| NPI | 1841262011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9493697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005988) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71000901A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9493697) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-09-30 |