| NPI | 1912318460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN93316060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp 9316060) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 9316060) | |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2021-07-27 |