| NPI | 1871849596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1371502) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1351702) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2023-04-14 |