| NPI | 1922486844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9308862) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9308862) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-10-28 |