| NPI | 1902343304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN-9305771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9305771) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2024-03-27 |