| NPI | 1043715675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024177206) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9336675) |
| 363L00000X Nurse Practitioner (Licence: TN APN0000026505) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2019-12-11 |