| NPI | 1992242846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9233856) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 274685) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9233856) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-12-20 |