| NPI | 1982241311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11005156) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11005156) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2024-09-09 |