| NPI | 1043751449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9250281) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014297) |
| 363L00000X Nurse Practitioner (Licence: VA NP 0024174637) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2021-04-09 |