| NPI | 1861955452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11034379) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11034379) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 0000025720) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-09-03 |