| NPI | 1871199240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010366) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11010366) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-08-01 |