| NPI | 1023474525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9295740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9295740) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2023-10-03 |