| NPI | 1972117026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009006) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 109574500) |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2024-03-28 |