| NPI | 1992210421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11002347) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007861) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2020-07-23 |