| NPI | 1992188833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9297910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9297910) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9297910) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-05-02 |