| NPI | 1053605485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004578) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL APRN11004578) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-05-19 |