| NPI | 1902563844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016594) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 848663) | |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2024-03-13 |