| NPI | 1861751026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL Aprn11028156) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 303828-1) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2023-10-18 |