| NPI | 1033700877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011411) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 11011411) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 11011411) | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2022-08-11 |