| NPI | 1851082127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11029914) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL RN9195966) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5019964) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-05-08 |