| NPI | 1952818809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11035733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007340A) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035733) | |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2025-01-14 |