| NPI | 1932647096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9232974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9232974) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2022-05-10 |