| NPI | 1932648128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11014704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 787435) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-03-03 |