| NPI | 1912568825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9258928) |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2019-10-11 |