| NPI | 1992374458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013164) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11013164) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-06-08 |