| NPI | 1053601815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9286651) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4011863) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9286651) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2024-02-16 |