| NPI | 1891398012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019538) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 346308) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2024-03-22 |