| NPI | 1902357858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9287606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9287606) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9287606) | |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2025-01-25 |